Transactions of the Royal Society of Tropical Medicine and Hygiene

01 19 October 2026

DOI 10.1093/trstmh/trag132

Whose sepsis? Tropical infections and the limits of contemporary sepsis evidence

Open DOI

Praveen Kumar Tirlangi, Nitin Gupta

02 15 October 2026

DOI 10.1093/trstmh/trag126

Out-of-pocket expenditure in dermatophytosis: a prospective observational study from a tertiary care center in India

Open DOI

Manavi Gupta, Sukhdeep Singh, Sheetal Thakur et al.

Objectives: Superficial dermatophytosis (tinea) has emerged as a chronic, relapsing public health problem in India, leading to repeated healthcare visits and increasing out-of-pocket expenditure (OOPE). This study aimed to estimate the m...

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03 14 October 2026

DOI 10.1093/trstmh/trag125

Seroprevalence and risk factors of hepatitis E virus infection in a rural Argentine community: a cross-sectional study

Open DOI

M A Rivero, L P Arce, S E Gutiérrez et al.

Background: Hepatitis E virus (HEV) is a leading cause of acute viral hepatitis worldwide. Rural populations and pig production systems in Argentina may be at increased risk of HEV exposure; however, epidemiological data from these setti...

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04 13 October 2026

DOI 10.1093/trstmh/trag120

Entomological response to control interventions during the first chikungunya and dengue outbreak in White Nile, Sudan

Open DOI

Set Alnafer Magdy Aljaily, Ismail Ali Yousif Hamed, Khalid Sarour Mustafa et al.

Background: White Nile State in south-central Sudan experienced its first documented outbreak of dengue and chikungunya in 2022. The present study evaluates the entomological response following an integrated vector management package imp...

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05 9 October 2026

DOI 10.1093/trstmh/trag121

Preparedness of primary health centres for snakebite management and challenges faced by healthcare providers: a mixed-methods study from a selected district, southern India

Open DOI

Amar Gumataj, Palanivel Chinnakali, Chanaveerappa Bammigatti et al.

Objectives: Primary health centres (PHCs) are the first point-of-care in rural settings for snakebite management and are expected to provide early management, including anti-snake venom (ASV) administration. However, evidence on their fu...

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06 9 October 2026

DOI 10.1093/trstmh/trag123

Ambiguities in WHO rabies immunization recommendations: implications for clinical practice

Open DOI

Sher Bahadur Pun, Krishna Prasad Acharya

07 9 October 2026

DOI 10.1093/trstmh/trag127

Probable Ophiophagus sp. envenomation with cardiopulmonary arrest: sequential antivenom escalation in the Philippines

Open DOI

Paolo S Ortillo, Yoshihiro Aoki, Jonathan Paghubasan et al.

Snakebite envenomation remains a leading cause of preventable mortality in Southeast Asia. We report a 52-year-old woman from Leyte, Philippines, who sustained a bite from a probable king cobra (Ophiophagus sp.) and arrived at a tertiary...

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08 9 October 2026

DOI 10.1093/trstmh/trag117

Albendazole ointment: a potentially safe, painless, and effective therapy for cutaneous larva migrans during pregnancy

Open DOI

Alfonso Gotor-Rivera, Elena Porres-López, Pablo L Ortiz-Romero et al.

Objectives: We report two cases of cutaneous larva migrans in pregnant women. Methods: Due to pregnancy, systemic therapy was not considered. Limited efficacy of cryotherapy and unavailability of topical thiabendazole led to the in-offic...

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09 8 October 2026

DOI 10.1093/trstmh/trag122

New-onset refractory status epilepticus with a hyperferritinemic hyperinflammatory phenotype in Kyasanur Forest Disease

Open DOI

Praveen Kumar Tirlangi, Anjely Sebastian, Muralidhar Varma et al.

Background: Kyasanur Forest Disease (KFD) is a tick-borne flaviviral infection endemic to India. While neurological manifestations are recognized, new-onset refractory status epilepticus (NORSE) has not been previously reported. We descr...

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10 6 October 2026

DOI 10.1093/trstmh/trag119

Persistence of leprosy in northeast Brazil: epidemiological characterization and spatial distribution over a decade

Open DOI

Welleson Sousa da Silva, Sabryna Fukahori Barbosa, Luís Gabriel dos Santos Gomes et al.

Leprosy is an infectious disease caused by Mycobacterium leprae, predominantly affecting vulnerable populations. This study analysed the spatial and spatiotemporal distribution of leprosy cases in northeast Brazil and their epidemiologic...

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